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All Journal Journal of Ultimate Public Health Nursing and Health Sciences Journal (NHSJ)
Ratu Ayu Dewi Sartika
Department of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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An Analysis of Qualitative Open Defecation Behavior of North Maluku Province in 2017 (A Case Study at Community of Toseho Village in Archipelago Tidore City) Norma B Toduho; Bambang Setiaji; Ratu Ayu Dewi Sartika
JUMP Health (Journal of Ultimate Public Health) Vol. 3 No. 2 (2019): November 2019
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.195 KB) | DOI: 10.22236/jump-health.v3.i2.p%p

Abstract

Background : Public Health Development Index in 2013, the correct behavior of defecation in North Maluku is about 0.78 percent and the rest still have Open Defecation Behavior.Purpose : The purpose of this research is to find out the Open Defecation Behavior (Case Study at Community of Toseho Village in Tidore Kepulauan City) in North Maluku Province.Methods : The methods used are observation, in-depth interview, and FGD (Focus Group Discussion). Determinant of informants used "purposive sampling" method.Results :  The results of the study found lack of family, public figure, and public religious about  perceptions against open defecation and latrine availability due to difficult geographic location (coastal), absence of latrines either private or public latrines (damaged), limited finances, and ashamed of using neighbor latrines. There is not ‘toilet social gathering’ established by health workers and public figure. Open defecation behavior habits in the community stays since the past until now and on every age, whereas the majority of the people are muslim. Open defecation places (adults and small children) are at beachside, back of the house (mangrove forest), side of the house, and at terrace. There are not regulation from public figure or public religious against the community who does open defecation. public figure and public religious never invite the community by inculcating islamic value that is maintainingpersonal hygiene and environment and sanitation as part of the faith. Other than that one of the public figure even provide an example that is not good, where the public figure had served as chairman of the Neighborhood Association, even do open the faction, so that his bihavior in samples by the citizens themselves.Suggestion : It is expected that health workers will be more optimal in carrying out community empowerment activities through family-related approaches to sanitation and Clean and Healthy Life Behavior, public figure and publich religious conducting activities that instill Islamic values to the community to maintain sanitation and clean and healthy life behavior.
Digital transformation in pharmacist-led services: Optimizing chronic patient management in Indonesia's primary health care facilities Meliasi Nora Pratamarta; Rani Sauriasari; Ratu Ayu Dewi Sartika; Lisa Aditama; Asrul Ismail
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 2 (2026): June 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i2.689

Abstract

Primary healthcare facilities in Indonesia face persistent challenges in managing type 2 diabetes and hypertension, largely due to suboptimal medication adherence and limited telepharmacy integration. This mixed-methods quasi-experimental study evaluated a multicomponent telepharmacy intervention across ten community health centers in Depok. Using stratified random sampling, 424 chronic patients were assigned to intervention or control groups. Grounded in the Health Belief Model and Technology Acceptance Model, the intervention combined the “FarmasiKronis Depok” application with twelve virtual pharmacist consultations. Outcomes were assessed using MMAS-8, SF-36, and eHEALS. Quantitative data were analyzed via ANCOVA and multivariate regression, supplemented by thematic analysis of 45 semi-structured interviews. The intervention significantly improved medication adherence (+2.1 points; d = 1.52; p < 0.001) and quality of life (+19.2 points; d = 1.42; p < 0.001) compared with controls. Regression identified intervention exposure (β = 1.42) and digital health literacy (β = 0.12) as primary predictors. Qualitative themes highlighted digital accessibility (71%), academic institutional support (62%), and persistent digital literacy barriers (40%). Notably, university-educated participants achieved an 85% high-adherence rate. Pharmacist-led digital transformation substantially optimizes chronic disease management in primary care. Strategic integration with national health platforms, standardized telepharmacy reimbursement, and expanded digital competency training offer scalable pathways to reduce hospital readmissions by 28% and enhance health system sustainability
Co-Authors Asrul Ismail Bambang Setiaji Lisa Aditama Meliasi Nora Pratamarta Norma B Toduho Rani Sauriasari